经皮冠状动脉介入手术后并发造影剂肾病的相关危险因素分析及护理对策  

Analysis on related risk factors of concurrent contrast induced nephropathy after percutaneous coronary intervention

作　　者：周嫦英[1] 潘爱珍[1] 赵新雁[1] 徐志锋[1] Zhou Changying;Pan Aizhen;Zhao Xinyan;Xu Zhifeng(The Radiology Department, the First People＇s Hospital of Foshan, Foshan 528000, Chin)

机构地区：[1]广东省佛山市第一人民医院影像科,528000

出　　处：《国际护理学杂志》2018年第8期1009-1012,共4页international journal of nursing

基　　金：佛山市科技创新平台项目（2015AG10004）

摘　　要：目的分析经皮冠状动脉介入（PCI）手术后并发造影剂肾病（CIN）的相关危险因素，并制定针对性护理对策。方法回顾性分析该院收治的175例PCI手术患者的临床资料，统计术后CIN发生率，对影响术后CIN的因素进行单因素分析和多因素Logistic回归分析，并根据分析结果制定针对性护理对策。结果175例患者中，术后发生CIN24例（13．71％）。单因素分析结果显示：年龄、有无糖尿病、有无肾功能不全、有无急性心肌梗死、造影剂剂量、有无心功能不全患者CIN发生率比较，差异有统计学意义（P〈0．05）；多因素分析结果显示：影响PCI术后CIN发生的因素按照危险程度依次为肾功能不全（OR=6．49）、造影剂剂量≥250ml（OR=5．48）、有急性心肌梗死（OR=4．53）、有心功能不全（OR=3．96）、有糖尿病（OR=3．13）、年龄≥60岁（OR=2．60）。结论年龄、造影剂剂量、糖尿病、急性心肌梗死等均是影响PCI术后CIN发生的危险因素，临床应综合分析患者具体情况并制定针对性护理对策。Objective To analyze the related risk factors of concurrent contrast induced nephropathy after per- cutaneous coronary intervention, and to make targeted nursing countermeasures. Methods Clinical data of 175 patients with PCI operation was analyzed retrospectively, and the incidence of contrast induced nephropathy （CIN） after operation was figured. The single factor analysis and multivariate Logistic regression analysis were carried out on the factors affecting CIN after operation, and targeted Results In 175 cases of patients, there nursing countermeasures were formulated were a total of 24 cases with CIN after 13.71%. Univariate factor analysis showed that there were according to the analysis results. operation, with the incidence of significantly differences in such factors＂ constituent ratios as age, diabetes mellitus, renal insufficiency, acute myocardial infarction, dose of contrast agent, CIN incidence of pa- tients with cardiac dysfunction （P〈0. 05 ）. Multivariate analysis showed the factors of influencing the occurrence of PCI after CIN, according to the degree of risk, were renal insufficiency （ OR = 6. 49） , dose of contrast agent more than or equal to 250 ml （ OR = 5.48 ）, tes mellitus （ OR = 3.13）, and betes mellitus, acute myocardial ic situation of patients should be acute myocardial infarction （ OR = 4. 53 ）, cardiac insufficiency （ OR = 3.96）, diabe- 60 years of age or older （ OR = 2. 60） in turn. Conclusions Age, contrast dose, dia- infarction, etc. , comprehensively are the risk factors for the occurrence of CIN after PCI, and the specif- analyzed and targeted nursing countermeasures should be formulated

关 键 词：经皮冠状动脉介入术 造影剂肾病 危险因素 护理对策 

分 类 号：R473.5[医药卫生—护理学]